It is important that we have a way to follow up with you to better support you. If you do not wish to provide your email, you may provide an anonymized address here. *
Your answer
What is your name?
It is incredibly helpful for us to be able to follow up with you directly. We will try to better understand the situation and then act accordingly.
We may not be able to take
action on the violation without knowing who you are.
Your answer
Please identify the person(s) who is in violation of the code of conduct
We need this information to followup with the individual or group who violated our code of conduct and/or made you feel unsafe.
Your answer
What was the behavior that you wish to report? *
Please
detail what exactly the other person said or did. In order to take
action, we need to understand the concrete actions that someone took.
Your answer
Please provide links to any online spaces or documentation of the behavior. (If this happened online, skip if you do not have any links documenting the incident)
Your answer
Was this a single incident or has the behavior persisted for some time?
Clear selection
Provide any extra information around this incident that will help us better understand what happened.
Your answer
Has any action already been taken in response?
Either by yourself, or by anyone else.
Clear selection
If you answered yes to the question above, please tell us what action has been taken. Also include (if you are comfortable with it) who took that action.
Skip this question if no action has been taken.
Your answer
Do you wish to remain anonymous when we followup?
If so, please let us know what actions would make you the most comfortable as we followup.
Your answer
In the space below, please let us know how you'd prefer us to contact you, when we followup on the incident.
Your answer
THANK YOU for your time in reporting this incident.
We will do our best to followup on this report, following our code of conduct guidelines and procedures.